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J Thorac Cardiovasc Surg 2004;127:1838-1840
© 2004 The American Association for Thoracic Surgery

Brief communication

Rupture of a chronic expanding hematoma of the thorax into lung parenchyma

^a Department of General Thoracic Surgery, Gifu National Hospital, Gifu, Japan

Received for publication November 4, 2003; accepted for publication December 15, 2003.

^* Address for reprints: Kenichi Okubo, MD, General Thoracic Surgery, Gifu National Hospital, Japan, 5-1-1 Hinohigashi, Gifu 500-8718, Japan
okubo@gifu.hosp.go.jp

The first 20% of the full text of this article appears below.

Chronic expanding hematoma of the thorax is a rare entity and usually identified with mediastinal compression or chest wall protrusion in patients with a history of thoracotomy, tuberculous pleurisy, or thoracic trauma. We present a patient with chronic expanding hematoma of the thorax who had a massive hemoptysis caused by rupture into lung parenchyma.

Clinical summary

A 59-year-old woman with a history of thoracoplasty, which included resection of the 9th to 11th ribs for tuberculous empyema 24 years earlier, presented with a massive hemoptysis and dyspnea. She had had a chest wall protrusion pointed out for 4 months. She was brought to our hospital by ambulance, and chest roentgenography showed bilateral lung opacity. The chest roentgenogram 2 months before showed a right intrathoracic mass–like shadow with pleural calcification (Figure 1). Because of the repetitive hemoptysis and the progression of cyanosis, emergency tracheal intubation was done to secure the airway. The bleeding was suspected from the right middle or lower lobe, . . . [Full Text of this Article]

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